Anti Arrhythmics Drugs

Question 1

name/class
adenosine

Answer 1

Adenocard

Antidysrhythmic

Question 2

name/class
Adenocard

Answer 2

Adenosine

Antidysrhythmic

Question 3

Description
Adenosine
Adenocard

Answer 3

Adenosine can “chemically cardiovert” PSVT to a normal sinus rhythm. It has a half life of 10 seconds and does not cause hypotension.

Question 4

Indications
Adenosine
Adenocard

Answer 4

Narrow, Complex Paroxysmal Supraventricular Tachycardia Refactory to Vagal Maneuvers

Question 5

Contraindications
Adenosine
Adenocard

Answer 5

Atrial Fibrilation, 2nd and 3rd degree heart block, sinus node disease or asthma

Question 6

Precautions
Adenosine
Adenocard

Answer 6

It may cause transient dysrhythmias especially asytole, COPD

Question 7

Adult Dosage/Route
Adenosine
Adenocard

Answer 7

6 mg rapidly(over 1-2 sec) IV, then flush line rapidly with saline. If ineffective 12 mg in 1-2 min may be repeated

Question 8

PEDI Dosage/Route
Adenosine
Adenocard

Answer 8

0.1 mg/kg (over 1-2 sec) IV followed by rapid saline flush, then 0.2 mg/kg in 1-2 min to max 12 mg

Question 9

Name/class
Amiodarone

Answer 9

cordarone, pacerone
Anti dysrhythmic (KCL Blocker)

Question 10

Name/class
Cordarone

Answer 10

Amiodarone, Pacerone
Anti dysrhythmic (KCL Blocker)

Question 11

Name/class
Pacerone

Answer 11

Amiodarone, Cordarone
Anti dysrhythmic (KCL Blocker)

Question 12

Description
Amiodarone
Cordarone
Pacerone

Answer 12

amiodarone is an antidysrhythmic that prolongs the duration of the action potential and refactory period and relaxes smooth muscles reducing peripheral vascular resistance and increasing coronary blood flow

Question 13

Indications
Amiodarone
Cordarone
Pacerone

Answer 13

life-threatining ventricular and supraventricular dysrhymias, frequently atrial fibrillation

Question 14

Contraindications
Amiodarone
Cordarone
Pacerone

Answer 14

Cardiogenic shock,severe sinus bradycardia, or advanced heart block

Question 15

Adult Dosage/Route
Amiodarone
Cordarone
Pacerone

Answer 15

150 mg over 10 min PT with pulses or 300 mg pulseless IVP

Question 16

Pedi dosage/route
Amiodarone
Cordarone
Pacerone

Answer 16

5 mg/kg IV/IO, then 15 mg/kg/day

Question 17

name/class
Bretylium

Answer 17

Bretylol

Antidysrhythmic (KCL Blocker)

Question 18

name/class
Bretylol

Answer 18

Bretylium

Antidysrhythmic (KCL Blocker)

Question 19

Description
Bretylium
Bretylol

Answer 19

Bretylium causes a release of norepinephrine, depresses ventricular fibrillation, and reduces ectopy. Bretylium suppresses ventricular tachydysrhythmias including VFIB with reentry mechanisms.

Question 20

Indications
Bretylium
Bretylol

Answer 20

Ventricular fibrillation and ventricular tachycardia refactory to lidocane

Question 21

Contraindictations
Bretylium
Bretylol

Answer 21

None

Question 22

Dosage/route
Bretylium
Bretylol

Answer 22

5 mg/kg IV, then 10 mg/kg 15-30 min to a max 30 mg/kg

Question 23

name/class
lidocane

Answer 23

xylocaine

Antidysrhythmic (NA+ Blocker)

Question 24

Name/class
xylocaine

Answer 24

lidocane 
Antidysrhythmic (NA+ Blocker)

Question 25

Description lidocane xylocaine

Answer 25

Lidocane is an antidysrhythmic that suppresses automaticity and raises stimulation threshold of the ventricles. It also causes sedation, anticonvulsant and analgesic effects

Question 26

Indications lidocane xylocaine

Answer 26

pulseless ventricular tachycardia, ventricular fibrilation, ventricular tachycardia (with pulse)

Question 27

contraindications lidocane xylocaine

Answer 27

hypersensitivity to amide-type local anesthetics, supraventricular dysrhythmias, stroke-adams syndrome, 2nd and 3rd degree heart blocks and bradycardia

Question 28

precautions lidocane xylocaine

Answer 28

hepatic or renal impairment, CHF, Hypoxia, Respiratory depression, Hypovolemia, Myasthenia gravis, shock, elderly

Question 29

adult dosage/route lidocane xylocaine

Answer 29

1-1.5 mg/kg IV repeated every 3-5 min up to 3mg/kg consider 1/2 dose for eldely follow conversion with a drip of 2-4 mg/min. 1 gram/250cc

Question 30

Pedi dosage/route lidocane xylocaine

Answer 30

1 mg/kg IV, repeat every 3-5 min up to 3 mg/kg, follow conversion with a drip of 20-50 mcg/kg/min

Question 31

name/classification | Procainamide

Answer 31

Pronestyl | Anti-arrhythmic (NA+ Blocker)

Question 32

``` name/class Pronestyl ```

Answer 32

Procainamide | Anti-arrhythmic (NA+ Blocker)

Question 33

Description Procainamide Pronestyl

Answer 33

Procainamide prolongs ventricular repolarization, slows conduction and decreases myocardial excitability

Question 34

Indications Procainamide Pronestyl

Answer 34

Ventricular fibrilation and pulseless ventricular tachycardia refactory to lidocaine

Question 35

Contraindications Procainamide Pronestyl

Answer 35

Hypersensitivity to procainamide or procane. Myasthenia gravis, and 2nd or 3rd degree heart block

Question 36

Precautions Procainamide Pronestyl

Answer 36

Hypotension, cardiac enlargement, CHF, AMI, Ventricular dysrhythmias from digitalis, hepatic or renal impairment, bronchial asthma

Question 37

Adult dosage/route Procainamide Pronestyl

Answer 37

20-30 mg/min IV drip @ 6-8 mg/kg Stop points;(1) up to 17 mg/kg to effect then 1-4 mg/min (2) ectopy resolves (3) QRS complex widens more than 50% from originial (4) hypotension ensues

Question 38

Pedi dosage/route Procainamide Pronestyl

Answer 38

15 mg/kg IV/IO over 30-60 min